Jowls? Best Treatment? Need Second Opinion (photo)

I'm looking for a 2nd opinion. I'm wondering what type of treatment I need to correct the roundness of my cheeks and the (jowls?) they're beginning to form that remind me of droopy every time I look in the mirror. I'm only 35 yo but these things make me look older. The surgeon I saw told me that face and neck liposuction would provide the best results, but the procedure comes to a hefty price tag of nearly $6K. Any other tx that could yield comparable results? Thank you for reading!

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age 35-44 jowls second opinion

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7 Doctor Answers | Asked by lma in los angeles, ca

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Treatment of jowls

I fail to see how liposuction will fix the problem. This is standard early aging of the face. The soft tissues under the skin migrate downward and connections between the skin and deeper structures become creases in the process. In this photo the crease is a jowl. The ideal maneuver would be to put the tissue back up where it used to be rather than remove it. In very early cases we camouflage this by putting injecting a filler in the crease. You might look into non-surgical approaches... more

Facial volume loss

You are beginning to experience loss of fatty volume in your face which is a characteristic change with aging. A full face photo would be more helpful to decide exactly what is best to help you restore a more youthful shape to the face. I can not evaluate or comment on your neck as a profile view is needed. However you are showing volume loss at the jawline in an are we call the pre jowl sulcus. The fatty volume remains behind this area making the marionette lines appear deeper. A facelift... more

ADDRESSING THE PRE-JOWL SULCUS

It is difficult to truly evaluate your concern without other pictures. From what I can see, I don't believe you neck is the problem. Your soft tissue of the cheek is descending over a fixed point in the jowl region. A less costly treatment, facial fillers such as hyaluronic acids or facial fat grafting would lessen the shadowing effect and yield a good result.

Liposuction of the jowls/jawline do great under local!

Your jowls/jawline would do great under local anesthesia for liposuction and would run around $2500 for the procedure and $750 for the op room =$3250 is a good estimate. It would make a big improvement and is easy to undergo. Sincerely, David Hansen,MD

David Hansen, MD

19 reviews

Beverly Hills Dermatologic Surgeon

www.DrDavidHansen.com

Fill below the jowl for a youthful look

We know with certainty that the hallmark of aging is loss of facial fat. The fullness in the neck will respond to suctioning, however suctioning the cheek can be aging and removal of the buccal fat can be a regret as well. We suggest fill to the groove below the jowl, either an HA filler or fat for a smoother look without risks.

Early jowling in the thirties

Thanks for the photos, I have a couple of options to consider. The removal of buccal fat from inside your cheeks is simple procedure under local anesthesia that may reduce the fat volume in your cheeks nicely. I am not a fan of liposuction of the face because of resulting contour irregularities that may be hard to correct. A more aggressive approach to the jowling is using a minimal access cranial suspension (MACS) technique to suspend the cheek fat. Best of... more

Liposuction should work.

Liposuction is a very versatile technique that allows one to remove fat from a wide area through small incisions. This is applicable to almost all areas. Your fullness of the jowl and cheek areas should be amenable to this type of treatment. Sometimes to achieve a hollowing of the cheek we resect the fat pad, but this does not seem to be your problem. The cost for the procedure varies, but I would think that this should be available for less in most areas.